Individual
DR. GLENFORD NAKPAWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
875 MAMARONECK AVE, SUITE 100A, MAMARONECK, NY 10543-1900
(914) 835-6004
Mailing address
19066 BRASILIA DR, NORTHRIDGE, CA 91326-1520
(914) 835-6004
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
52438
CA
1223G0001X
General Practice Dentistry
051608
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02634839
—
NY
Enumeration date
01/23/2007
Last updated
11/15/2007
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